Effect of the warm and wet environment of the swimming-pool on the bacterial flora of the external ear canal and development of otitis externa in children who attend to swimming course

Objective: Especially in the summer season, there is an increased incidence of ear infections in the children who attend to the swimming pools. The most frequent ear infection in this group is otitis externa. This study was planned in order to examine whether the microbiologic flora of the normal ex...

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Main Authors: Ertap Akoğlu, Meryem Çetin, Yusuf Önlen, Nizam Duran, Özlem Sangün, Lütfü Savaş, Sebahattin Ocak
Format: Article
Language:English
Published: Galenos Yayincilik 2006-03-01
Series:Turkish Archives of Otorhinolaryngology
Subjects:
Online Access: http://turkarchotolaryngol.net/archives/archive-detail/article-preview/effect-of-the-warm-and-wet-environment-of-the-swim/43725
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author Ertap Akoğlu
Meryem Çetin
Yusuf Önlen
Nizam Duran
Özlem Sangün
Lütfü Savaş
Sebahattin Ocak
author_facet Ertap Akoğlu
Meryem Çetin
Yusuf Önlen
Nizam Duran
Özlem Sangün
Lütfü Savaş
Sebahattin Ocak
author_sort Ertap Akoğlu
collection DOAJ
description Objective: Especially in the summer season, there is an increased incidence of ear infections in the children who attend to the swimming pools. The most frequent ear infection in this group is otitis externa. This study was planned in order to examine whether the microbiologic flora of the normal external auditory canal (EAC) is changed by the pool environment in the presence or absence of cerumen; and to evaluate the relationship of these changes with the external otitis.Methods: Ear swab samples of EAC from 197 children were taken before and 1 month after the swimming course. These samples were evaluated at the microbiology laboratory after the otoscopic examination of each student.Results: The most frequently isolated microorganisms from the samples which were taken before the course were; Staphylococcus epidermidis (76.7%), Diphteroid spp. (47.3%) and alpha-hemolytic streptococci (29.9%) respectively. After the course period, it was determined that the percentage of isolated microorganisms changed, although the order of the frequency of the first three microorganism remained the same (Staphylococcus epidermidis 75.9%, Diphteroid spp. 56.3% and alpha-hemolytic streptococci 41.1%). Only one case of external otitis due to Pseudomonas aeruginosa was seen in the course period.Conclusions: It was concluded that an alteration in the microbiologic flora of the EAC and the presence or absence of cerumen do not play a role in the development of EAC infections provided that the hygienic conditions are constituted and EAC skin is not traumatized.
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spelling doaj.art-a8e59d7f4f944f54b5666346afeed1692023-02-15T16:11:20ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742006-03-01441293313049054Effect of the warm and wet environment of the swimming-pool on the bacterial flora of the external ear canal and development of otitis externa in children who attend to swimming courseErtap Akoğlu0Meryem Çetin1Yusuf Önlen2Nizam Duran3Özlem SangünLütfü Savaş4Sebahattin Ocak5 Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi Kulak Burun Boğaz Hastalıkları ve Baş Boyun Cerrahisi Anabilim Dalı, Hatay Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi Mikrobiyoloji Anabilim Dalı, Hatay Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Hatay Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi Mikrobiyoloji Anabilim Dalı, Hatay Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi Mikrobiyoloji Anabilim Dalı, Hatay Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi Mikrobiyoloji Anabilim Dalı, Hatay Objective: Especially in the summer season, there is an increased incidence of ear infections in the children who attend to the swimming pools. The most frequent ear infection in this group is otitis externa. This study was planned in order to examine whether the microbiologic flora of the normal external auditory canal (EAC) is changed by the pool environment in the presence or absence of cerumen; and to evaluate the relationship of these changes with the external otitis.Methods: Ear swab samples of EAC from 197 children were taken before and 1 month after the swimming course. These samples were evaluated at the microbiology laboratory after the otoscopic examination of each student.Results: The most frequently isolated microorganisms from the samples which were taken before the course were; Staphylococcus epidermidis (76.7%), Diphteroid spp. (47.3%) and alpha-hemolytic streptococci (29.9%) respectively. After the course period, it was determined that the percentage of isolated microorganisms changed, although the order of the frequency of the first three microorganism remained the same (Staphylococcus epidermidis 75.9%, Diphteroid spp. 56.3% and alpha-hemolytic streptococci 41.1%). Only one case of external otitis due to Pseudomonas aeruginosa was seen in the course period.Conclusions: It was concluded that an alteration in the microbiologic flora of the EAC and the presence or absence of cerumen do not play a role in the development of EAC infections provided that the hygienic conditions are constituted and EAC skin is not traumatized. http://turkarchotolaryngol.net/archives/archive-detail/article-preview/effect-of-the-warm-and-wet-environment-of-the-swim/43725 external auditory canal floraotitis externaswimming pool
spellingShingle Ertap Akoğlu
Meryem Çetin
Yusuf Önlen
Nizam Duran
Özlem Sangün
Lütfü Savaş
Sebahattin Ocak
Effect of the warm and wet environment of the swimming-pool on the bacterial flora of the external ear canal and development of otitis externa in children who attend to swimming course
Turkish Archives of Otorhinolaryngology
external auditory canal flora
otitis externa
swimming pool
title Effect of the warm and wet environment of the swimming-pool on the bacterial flora of the external ear canal and development of otitis externa in children who attend to swimming course
title_full Effect of the warm and wet environment of the swimming-pool on the bacterial flora of the external ear canal and development of otitis externa in children who attend to swimming course
title_fullStr Effect of the warm and wet environment of the swimming-pool on the bacterial flora of the external ear canal and development of otitis externa in children who attend to swimming course
title_full_unstemmed Effect of the warm and wet environment of the swimming-pool on the bacterial flora of the external ear canal and development of otitis externa in children who attend to swimming course
title_short Effect of the warm and wet environment of the swimming-pool on the bacterial flora of the external ear canal and development of otitis externa in children who attend to swimming course
title_sort effect of the warm and wet environment of the swimming pool on the bacterial flora of the external ear canal and development of otitis externa in children who attend to swimming course
topic external auditory canal flora
otitis externa
swimming pool
url http://turkarchotolaryngol.net/archives/archive-detail/article-preview/effect-of-the-warm-and-wet-environment-of-the-swim/43725
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